Efficacy of COVID-19 vaccine booster doses in older people

Camilla Mattiuzzi, Giuseppe Lippi, Camilla Mattiuzzi, Giuseppe Lippi

Abstract

Purpose: We provide here an updated analysis on efficacy of COVID-19 vaccine booster doses in older people (i.e., aged ≥ 80 years) based on ongoing Italian nationwide COVID-19 vaccination campaign.

Methods: Data were obtained from the COVID-19 national integrated surveillance program, made available and regularly updated by the Italian National Institute of Health.

Results: Compared to those who completed the COVID-19 vaccination cycle for ≥ 5 months (n = 2,385,897), those receiving booster doses (n = 1,549,747) had 75% lower risk of SARS-CoV-2 infection, 82-83% lower risk of COVID-19 hospitalization and ICU admission, and 81% lower risk of death. Administration of COVID-19 vaccine boosters generated also greater protection (between 63 and 87% higher) against all these same endpoints compared to early completing (i.e., < 5 months; n = 335,458) a primary COVID-19 vaccination cycle.

Conclusions: The administration of COVID-19 vaccine booster doses is advisable for reducing the risk of morbidity and mortality in older people.

Keywords: Booster; COVID-19; Older people; SARS-COV-2; Vaccination.

Conflict of interest statement

The authors have no conflicts of interests.

© 2022. The Author(s), under exclusive licence to European Geriatric Medicine Society.

Figures

Fig. 1
Fig. 1
Cases per 100,000 of SARS-CoV-2 infection, COVID-19-related hospitalizations, intensive care unit admissions and deaths reported from the ongoing nationwide COVID-19 vaccination campaign in older Italian people (i.e., aged > 80 years). SARS-CoV-2 severe acute respiratory syndrome coronavirus 2, COVID-19 coronavirus disease 2019; ICU, intensive care unit

References

    1. Lippi G, Sanchis-Gomar F, Henry BM. Coronavirus disease 2019 (COVID-19): the portrait of a perfect storm. Ann Transl Med. 2020;8:497. doi: 10.21037/atm.2020.03.157.
    1. Sorrell JM. Losing a generation: the impact of COVID-19 on older Americans. J Psychosoc Nurs Ment Health Serv. 2021;59:9–12. doi: 10.3928/02793695-20210315-03.
    1. Lippi G, Sanchis-Gomar F, Henry BM. COVID-19: unravelling the clinical progression of nature's virtually perfect biological weapon. Ann Transl Med. 2020;8:693. doi: 10.21037/atm-20-3989.
    1. Lozano-Montoya I, Quezada-Feijoo M, Jaramillo-Hidalgo J, Garmendia-Prieto B, Lisette-Carrillo P, Gómez-Pavón FJ. Mortality risk factors in a Spanish cohort of oldest-old patients hospitalized with COVID-19 in an acute geriatric unit: the OCTA-COVID study. Eur Geriatr Med. 2021;12:1169–1180. doi: 10.1007/s41999-021-00541-0.
    1. Carrillo-Garcia P, Garmendia-Prieto B, Cristofori G, Montoya IL, Hidalgo JJ, Feijoo MQ, Cortés JJB, Gómez-Pavón J. Health status in survivors older than 70 years after hospitalization with COVID-19: observational follow-up study at 3 months. Eur Geriatr Med. 2021;12:1091–1094. doi: 10.1007/s41999-021-00516-1.
    1. Shinohara T, Saida K, Tanaka S, Murayama A, Higuchi D. Did the number of older adults with frailty increase during the COVID-19 pandemic? A prospective cohort study in Japan. Eur Geriatr Med. 2021;12:1085–1089. doi: 10.1007/s41999-021-00523-2.
    1. Sadjadi M, Mörschel KS, Petticrew M. Social distancing measures: barriers to their implementation and how they can be overcome—a systematic review. Eur J Public Health. 2021 doi: 10.1093/eurpub/ckab103.
    1. Cunningham AL, McIntyre P, Subbarao K, Booy R, Levin MJ. Vaccines for older adults. BMJ. 2021;372:n188. doi: 10.1136/bmj.n188.
    1. Doherty TM, Connolly MP, Del Giudice G, Flamaing J, Goronzy JJ, Grubeck-Loebenstein B, Lambert PH, Maggi S, McElhaney JE, Nagai H, Schaffner W, Schmidt-Ott R, Walsh E, Di Pasquale A. Vaccination programs for older adults in an era of demographic change. Eur Geriatr Med. 2018;9:289–300. doi: 10.1007/s41999-018-0040-8.
    1. Monto AS. The future of SARS-CoV-2 vaccination—lessons from influenza. N Engl J Med. 2021;385:1825–1827. doi: 10.1056/NEJMp2113403.
    1. Goldberg Y, Mandel M, Bar-On YM, Bodenheimer O, Freedman L, Haas EJ, Milo R, Alroy-Preis S, Ash N, Huppert A. Waning immunity after the BNT162b2 vaccine in Israel. N Engl J Med. 2021;385:e85. doi: 10.1056/NEJMoa2114228.
    1. Istituto Superiore di Sanità. Epidemia COVID-19—Aggiornamento Nazionale 15 Dicembre 2021. . Accessed 17 Dec 2021
    1. Bar-On YM, Goldberg Y, Mandel M, Bodenheimer O, Freedman L, Kalkstein N, Mizrahi B, Alroy-Preis S, Ash N, Milo R, Huppert A. Protection of BNT162b2 vaccine booster against COVID-19 in Israel. N Engl J Med. 2021;385:1393–1400. doi: 10.1056/NEJMoa2114255.
    1. Barda N, Dagan N, Cohen C, Hernán MA, Lipsitch M, Kohane IS, Reis BY, Balicer RD. Effectiveness of a third dose of the BNT162b2 mRNA COVID-19 vaccine for preventing severe outcomes in Israel: an observational study. Lancet. 2021;398:2093–2100. doi: 10.1016/S0140-6736(21)02249-2.
    1. Muhsen K, Maimon N, Mizrahi A, Varticovschi B, Bodenheimer O, Gelbshtein U, Grotto I, Cohen D, Dagan R. Effects of BNT162b2 Covid-19 vaccine booster in long-term care facilities in Israel. N Engl J Med. 2021 doi: 10.1056/NEJMc2117385.
    1. Salvagno GL, Henry BM, Pighi L, De Nitto S, Gianfilippi G, Lippi G. The pronounced decline of anti-SARS-CoV-2 spike trimeric IgG and RBD IgG in baseline seronegative individuals six months after BNT162b2 vaccination is consistent with the need for vaccine boosters. Clin Chem Lab Med. 2021;60(2):e29–e31. doi: 10.1515/cclm-2021-1184.
    1. Cromer D, Steain M, Reynaldi A, Schlub TE, Wheatley AK, Juno JA, Kent SJ, Triccas JA, Khoury DS, Davenport MP. Neutralising antibody titres as predictors of protection against SARS-CoV-2 variants and the impact of boosting: a meta-analysis. Lancet Microbe. 2021 doi: 10.1016/S2666-5247(21)00267-6.
    1. Falsey AR, Frenck RW, Jr, Walsh EE, Kitchin N, Absalon J, Gurtman A, Lockhart S, Bailey R, Swanson KA, Xu X, Koury K, Kalina W, Cooper D, Zou J, Xie X, Xia H, Türeci Ö, Lagkadinou E, Tompkins KR, Shi PY, Jansen KU, Şahin U, Dormitzer PR, Gruber WC. SARS-CoV-2 neutralization with BNT162b2 vaccine dose 3. N Engl J Med. 2021;385:1627–1629. doi: 10.1056/NEJMc2113468.

Source: PubMed

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